Phenibut is a new supplement to the health industry in the United States. Research has been conducted in Russia but little knowledge exists in Western medicine regarding its properties and effects of long term use. Phenibut is widely used in Russia to relieve tension, anxiety, and fear, to improve sleep in psychosomatic or neurotic patients or regular individuals with insomnia, as well as a pre- or post-operative medication. It is also used in the therapy of disorders characterized by asthenia and depression, as well as in post-traumatic stress, stuttering and vestibular disorders. Phenibut, chemically known as β-Phenyl-γ-aminobutyric acid, is a derivative of GABA brain chemical. It acts primarily at GABA (B) and, to some extent, at GABA (A) receptors.
Medical uses, which conditions does it help?
Anxiety and tension relief - phenibut is taken during the day
Sleep or insomnia - phenibut is taken an hour or two before bed. See this
article for natural ways to
sleep better.
Testimonial received by email
I have chronic pain and severe anxiety. I found phenibut use daily is an
incredible help. I use 2 to 3 grams a day. I journal my dosage. Trying to taper
off Xanax after years of use. My feelings are benzos have run their course.
Worried about all the long term issues. Phenibut works for now. Your opinion
would mean a lot.
A. I suggest taking occasional breaks from use.
What you are likely to feel
Most users feel a sense of calmness a few minutes or an or two after taking
some of the powder or a capsule. If taken in the evening there is a gradual
onset of sleepiness.
Tolerance, how to avoid
Regular users of phenibut, especially in high dosages, can build a tolerance to this
anti-anxiety and sleep aid, and may
require more over time to be effective. Therefore, as with most medications, it
is a good idea to use it less frequently and to substitute other natural
products.
Alternative natural sleep aids that can be used on the
evenings when not using phenibut powder or capsule:
Graviola herb, of high
quality, works well
for sleep. You can take two or three capsules two to three hours before bed on an empty
stomach (half hour before a meal or at least three hours after a meal).
5-HTP serotonin precursor, 50 mg about 2 to 3 hours before bed on an empty
stomach.
Melatonin pineal hormone
Theanine amino acid which has sedative properties.
Passion Flower herb
Hops herb in a capsule or tea.
GABA supplements have an influence on some people.
Valerian herb is liked by some people but it has not worked well for me.
Lean more about natural ways to help relieve
insomnia. Most
importantly take a brief morning walk with light exposure to set your circadian
clock and be physically active during the day. Also, if you have sleep problems,
avoid caffeine and tea, even herbal teas can build up in the body and over time
begin to cause alertness and shallow sleep.
Dose and dosage
Each person is different on the dose they respond to and I am still in the
process of reviewing data to determine a safe dose for long term use. The higher
the dosage used, the more likely tolerance and adverse reactions will develop. I
am still trying to figure out whether it works better with or without food, I
suspect it works better on an empty stomach or with a small snack.
Phenibut side effects, concerns, danger
Thus far I am aware of the following side effects but I am still learning
about these, I plan to update this information over time:
Sedation, which is desirable if that is the intent of supplementation.
Grogginess along with low motivation if high dosages are used.
Constipation with regular use.
Loss of sex drive and difficulty with erection and reduction of sensation.
Impotence or erectile dysfunction can occur which should be reversible upon
stopping use. The loss of libido should be reversed after stopping the
medication. I am still not fully sure about this but my initial impression is
that it has a negative effect on sexuality.
Email 2014: Q. I noticed you listed erectile dysfunction
and loss of libido as potential side effects. I've been taking phenibut once
weekly for a year and I few months with no side effects, but recently I have
been experiencing those sexual side effects. I have anxiety and depression on and
off, and I know that those conditions can affect libido as well. The sexual side
effects aren't listed on the manual for the pharmaceutical version of phenibut
Noofen. Is it possible for it to take over a year for these side effects to
manifest? I keep it in moderation and only use it once a week at
around 2 grams.
A. I am still learning about the influence of phenibut on erectile
function and libido.
Blurred vision or difficulty with focusing.
Rebound insomnia or sleep problems after stopping its regular use.
I am also uncomfortable with its use during the day, especially if driving a car or operating machinery. It is a good idea to avoid drinking alcohol together with phenibut. I don't know, at this time, how it affects cardiac function or lung function. As with any supplement, consult with your doctor before use, especially if you have health issues or are older.
Email September 2014, positive and negative effects
I wanted to post an email to your informational page about the OTC GABA
supplement phenibut. I just wanted to report my experience with using the
supplement on your page as I saw some other emails from people. I had many
positive effects from using it but also many negative side effects from using it
which grew severe enough to stop taking it so I thought it be important to
report my experience. I am familiar with the dosages and I wasn't taking all
that much (maybe 2-3 grams a day) but I was using the powered form and
dissolving it in water so perhaps it was highly purified and strong. It
definitely has cumulative effects and a long half-life because as the days went
on, it's effects grew stronger and lasted longer...like all day.
The positive effects I experienced were: -marked elevation in mood to the point
of euphoria -improved quality of sleep -enhanced appreciation for music
-improved focus and cognition initially but that became memory difficulty
-marked relief of anxiety -increased motivation -renewed interest in things
-being more talkative.
The negative effects I experienced were: -the memory problems I mentioned
-ataxia -periods of severe dizziness that would come on suddenly and last for an
hour or more -akathisia -nausea and I did vomit once after eating -sudden deep
and sharp pains in my limbs that would last for several minutes -a hangover like
feeling upon waking -sensitivity to temperature changes -and the most disturbing
side effect I experienced that I thought need to be reported was that I
developed psychosis and became delusional. I had to temporarily take
anti-psychotics until the drug cleared out of my system.
Testimonial, withdrawal symptoms
Q. I have been using a product daily called Somatomax for three years as a sleep
aid. After doing some research into its main ingredient Phenibut, I immediately
stopped taking the product. Since then I have been having an extremely difficult
time sleeping, far beyond anything I experience before starting to take the
product. Needless to say, the online research I have done has scared me quite a
bit. I’m deeply afraid I may have done myself some permanent damage with such
long term use. Do you have any idea how long it will take for my GABA receptors
to come back to normal, or if they will? Have you come across any evidence of
cognitive decline with long term use? I have read studies with benzo’s where
this is the case. Unfortunately I have not been able to find out the exact
amount of Phenibut in the product.
A. I have not seen any studies of long term use. I suspect
neurotransmitters will return to normal after a period of weeks or months.
Severe withdrawal symptoms testimonial
I have been using Phenibut for 5 weeks now. Originally it was only a few times a
week but then I became careless and now it has taken hold of my life. I saw my
primary care provider and he suggested I just go cold turkey which I did but I
ended up in the ICU, intubated. I have never felt any sort of psychological pain
and suffering as I have felt as I did withdrawing from phenibut. I have made it
5 days so far but only because of a script he gave me for Keppra and
Phenobarbital. I have been tapering but have gone 5 days without more than 3
hours of sleep. I asked for baclofen and my m.d. said no. I have been to ER more
times than I can count, I have brought numerous papers, studies, and case papers
explaining what phenibut is and what the prescribed protocol is to wean the
patient off of it into total sobriety. I do not drink, smoke or do drugs.
Phenibut is a γ-aminobutyric acid (GABA) agonist designed and used as an
anxiolytic in Russia. In Western countries, phenibut is not a registered
medication but is available through online stores as a supplement. I feel I have
totally ravaged my GABA-B receptors in just 4-5 weeks and I am truly scared of
permanent brain damage, that with the lack of sleep and the ignorance of the
medical establishment in knowing even what Phenibut it combined with the fact it
is sold in 500 GRAM tubs as a nootropic "Supplement" is heinous!
Q. I came across your website looking for information on phenibut. I was put on a sleep supplement called Kavinace and I have been taking
it every night for a few months. I decided to stop taking it and upon doing some
research learned it contains a drug called phenibut. I am in severe withdrawals
and I am very scared. I have never used a drug in my life and only took this
because I was told it was safe to help with insomnia which it did. Do you know
how long this will take to get out of my system. It's the scariest thing I have
ever experienced.
A. In most cases the withdrawal symptoms are gone less than a month
depending how often, how long, and in what dosage the medication has been used.
Q. This is now going on day 5 and I still have
not slept. I'm not experiencing the physical withdrawals anymore but the mental
withdrawals are very real and scary. This depression which I have never had in
my life is beyond scary. I did find out that the supplement had 650 mg of
phenibut which I was taking 1 sometimes 2 every night for many months. I'm so
angry right now at this Nurse Practitioner who told me this was safe. I would
never take anything like this. I went to her because I was hoping to stop taking
Benadryl at night.
Withdrawal symptoms
There have been reports of phenibut withdrawal with symptoms of insomnia,
lack of appetite and mood changes. If you have been taking it for prolonged
periods, reduce your dosage each night as part of the tapering
process.
Dependence and habituation, addiction
Some people can get easily dependent on this supplement and will have an
urge, or need, to use it nightly. Avoid the urge to use it regularly, at thus
avoid the potential of addiction and dependence.
BMJ Case Rep. 2013. Phenibut dependence. Phenibut is a γ-aminobutyric acid (GABA) agonist designed and used as an anxiolytic in Russia. In Western countries, it is not a registered medication but is available through online stores as a supplement. We present a case of a patient who used phenibut to self-medicate anxiety, insomnia and cravings for alcohol. While phenibut was helpful initially, the patient developed dependence including tolerance, significant withdrawal symptoms within 3-4 h of last use and failure to fulfil his roles at work and at home. He finally sought medical assistance in our addictions clinic. We have gradually, over the course of 9 weeks, substituted phenibut with baclofen, which has similar pharmacological properties, and then successfully tapered the patient off baclofen. This required approximately 10 mg of baclofen for each gram of phenibut.
When to take, how many hours before sleep?
If you are very alert you may need to take it a couple of hours before you
go to bed. If you are not in a normal tired state but you think you will have
trouble sleeping that night, you can take it about an hour before bed.
How long do the effects of phenibut last?
Most people notice the effects for a few hours, and this depends on a
person's sensitivity and the dosage taken. The higher the dose, the longer the
effects.
Phenibut Research
Drug Alcohol Rev. 2015. Phenibut (4-amino-3-phenyl-butyric acid):
Availability, prevalence of use, desired effects and acute toxicity. Phenibut
(β-phenyl-γ-aminobutyric acid) is a GABAB agonist. Here, we bring together
published scientific and grey information sources to further understand the
prevalence of use, desired effects and acute toxicity of phenibut. Using
European Monitoring Centre for Drugs and Drug Addiction Internet snapshot
methodology, we undertook an English language Internet snapshot survey in May
2015 to gather information on the availability and price of phenibut from
Internet retailers. To gather information on prevalence of use, desired effects
and/or adverse effects, we searched grey literature (online drug discussion
forums) and medical literature (PubMed and abstracts from selected International
Toxicology conferences). We found 48 unrelated Internet suppliers selling
phenibut in amounts ranging from 5 g to 1000 kg. Capsules containing 200-500 mg
of phenibut were available. According to the grey literature, phenibut is taken
for its anxiolytic and euphoric properties, with tolerance and withdrawal
syndromes commonly reported adverse effects. Case reports in the medical
literature feature users who present to emergency departments heavily sedated or
experiencing withdrawal. There have been no reported deaths relating to phenibut
use. Phenibut is readily available in the UK from Internet sites. Its desired
and adverse effects appear similar to other gamma-aminobutyric acid receptor
agonists.
Effect of phenibut on the behavior of experimental animals under conditions of
voluntary chronic alcoholism
Eksp Klin Farmakol. 2005.
The effect of phenibut on the locomotor and orientation-research activity, as
well as on the alcohol and food motivation, was studied on experimental animals
under conditions of voluntary chronic alcoholism. Phenibut decreased the
manifestations of alcohol-induced behavioral disorders and reduced alcohol
motivation.
Apparently, the limited research with phenibut
indicates it has a role to play in
alcohol misuse.
Effect of the GABA derivative phenibut on learning
Vestn Ross Akad Med Nauk. 2005.
The learning effect of phenibut, a beta-phenyl derivative of the inhibitory
neuromediator GABA, used in a subcutaneous dose of 40 mg/kg 2 hours before each
experiment, was studied in rabbits. The injection of phenibut was shown to
enhance not only the inhibitory, but also excitatory components of cerebral
cortical neuronal responses to all applied stimuli. The findings support the
concept that the GABAergic neuromediator system is involved in the elaboration
of internal inhibition and explain the sense of intracerebral processes that
ensure both the sedative properties of phenibut and its ability to improve
patients' systemic tone and health status when brain dysfunctions are treated.
Cardiac effects of fenibut in development of experimental
chronic renal insufficiency
Eksp Klin Farmakol. 2003.
St. Petersburg State Medical University, St. Petersburg,
Russia.
The effect of fenibut on the mechanical activity of myocardium was studied in
vitro and in vivo in rats with experimental chronic renal insufficiency (CRI) in
a regime of physiologically alternating load simulating the intact heart
function. The administration of fenibut (10 mg/kg) in rats after nephrectomy
prevents the development of myocardial hyperfunction (characteristic of the
animals with CRI in stage 1). In in vitro experiments on isolated myocardium
fenibut also decreased the myocardial hyperfunction and reduced contractility to
a control level, which was accompanied by accelerated relaxation in all finite
systolic lengths.
Anti-arrhythmic properties of GABA and GABA-ergic system
activators
Eksp Klin Farmakol. 2002.
Clinical and experimental data available in the literature are summarized, which
are indicative of the antiarrhythmogenic properties of GABA and substances
possessing GABA-positive activity (phenibut, piracetam, sodium hydroxybutyrate,
lithium hydroxybutyrate, etc.). The antiarrhythmic effects are manifested in
various cases of the heart rhythm violation. The mechanism of this action is
related to activation of the central and peripheral retarding GABAergic system,
as well as to antihypoxant, antioxidant, and antistressor effects.
Phenibut (beta-phenyl-GABA): a tranquilizer and nootropic drug.
CNS Drug Rev. 2001.
Phenibut (beta-phenyl-gamma-aminobutyric acid HCl) is a neuropsychotropic drug
that was discovered and introduced into clinical practice in Russia in the
1960s. It has anxiolytic and nootropic (cognition enhancing) effects. It acts as
a GABA-mimetic, primarily at GABA(B) and, to some extent, at GABA(A) receptors.
It also stimulates dopamine receptors and antagonizes beta-phenethylamine (PEA),
a putative endogenous anxiogenic. The psychopharmacological activity of phenibut
is similar to that of baclofen, a p-Cl-derivative of phenibut. This article
reviews the structure-activity relationship of phenibut and its derivatives.
Emphasis is placed on the importance of the position of the phenyl ring, the
role of the carboxyl group, and the activity of optical isomers. Comparison of
phenibut with piracetam and diazepam reveals similarities and differences in
their pharmacological and clinical effects.
Emails, Testimonials
Q. Great Site! Kudos to the doctor. I encourage you to keep writing more info on phenibut,
a modified version of GABA that crosses the blood brain barrier.
I find it VERY effective to reduce generalized anxiety disorder for short term
use. The most effective anxiety reducer of any non-benzo I've tried.
Q. Glad to see you've now added a profile for phenibut.
I wanted to give my experiences with this medicine in the hope that it might
help anyone out there wondering how well it works. I suffer from generalized
anxiety disorder and I must say phenibut at a high dose of 2 grams absolutely
kills the anxiety. Lower doses have smaller effects. The effects make themselves
apparent at 1-2 hours after oral dosing and last for perhaps 4-5 hours. It does
a good job at reducing anxiety, it is however a SHORT TERM solution only.
Tolerance seems to develop within days with continuous dosing (which takes about
2 weeks of complete abstinence from phenibut to disappear) and it is therefore
best to use sparingly, perhaps once a week during particularly bad episodes of
anxiety. This kind of frequency of use does not seem to develop tolerance. At
the relatively high dose of 2 grams it does make me drowsy and nauseous after
approximately 4-5 hours. A hangover and some rebound anxiety is expected the
next day, leaving me to question the point of this drug. It's a shame because
its anxiolytic effects are absolutely fantastic, but the hangover, rebound
anxiety and nauseous feeling seem to leave you feeling pretty bad the day after.
I've been reading up on phenibut since it appeared on the market and the above
experience seems to echo what a lot of people are describing (in terms of
hangover, rebound anxiety, tolerance) so they aren't side-effects isolated to me
only. People are using anywhere from 250mg - 2,000mg to induce an anxiety
reducing
effect.
A. Thank you so much for sharing this experience with us.
I have been using this Russian nootropic and anxiolytic on and off for along time now, with varied effects, and to the extent at one point that withdrawal was a very miserable experience. Everyone is different and while it's great for me for anxiety, if I'm not able to taper off of it the withdrawal is pretty bad for me, so it might be nice to caution everyone about it. I'm not alone, there are people who took far more and for far longer than me and many have ended up in addiction treatment scenarios similar to those who are addicted to many other forms of benzodiazepines. The real word of caution, though, should be about supplement quality. When I was using it frequently enough to feel withdrawal when I didn't use it, I noticed that between brands there was a huge variability in the true strength of the phenibut. Some gave me tics, mostly in my face and back, but some was not this way at all. Some also was definitely cut with something inert, because I could take twice my normal dose and not feel any effect; in fact it was just enough to keep withdrawal symptoms at bay in some cases. Another time, a new bottle of capsules arrived and not realizing it I took on 750mg dose (I use it pretty sparingly due to my sensitivity), and that combined with the fact that this stuff must've been really pure or uncut meant that I was really sedated and although it was enjoyable, it was unintentional and I'm glad I wasn't headed out for a drive or anything that required all of my reaction times and faculties. Anyway, I hope that helps.
FDA - Is this product legal or has the FDA removed it from
the market?
The FDA has not removed phenibut from over the counter sale as of
2015.
Hello Dr. Sahelian: I just started taking Phenibut 3 weeks
ago and still trying to figure the right dose. I'm 61 year old woman and weight
102lb 5'5 ,I'm extremely sensitive to any meds or supplements so I started very
low dose and I'm glad I did. I had suffer from depression my whole life even as
a child and it got worst the last few years. I had tried everything you can
imagine first all the natural (supplements all kinds, Heller work, acupuncture,
homeopathy, Reiki, Back flowers, exercise to the max all kinds, yoga for years
since I was 16, healers, etc.) Nothing worked so I went into the western meds
Prozac, Wellbutrin, Klonopil, Cymbalta, etc. and nothing changed. So years agoI
gave up in all, natural and meds.1 month ago I came across Phenibut in the
Internet and decided to give it a try, I ordered from a company that carries the
crystals 99.5% purity. Started taking it just 500mg. and in 3 hours I felt like
a completely different person, I was alive !!! For the first time I understood
why when I will tell ppl about the extreme of my depression none could
understand me, when you are feeling ok is impossible to get the whole of
darkness that I feel. The second week I change the way I was taking it and
started with 100mg a day but I read about the tolerance build and went back to
500mg every few days. The last dose I had was 500mg on Monday, today is
Wednesday and I will wait until I feel like hell again and then I take it go to
bed and sleep until starts working. To me is a life savor, I haven't done
anything for years, had million of projects to finish, spend all day looking
into space and hating to have to be in this world. Now I think that the world is
beautiful, get a lot of things done every day and my life is worth living. I can
go on and on about my whole depression and what is going on now and how I'm
trying to figure this Phenibut out but you get the picture.
Update: Well my experience with Phenibut is over. I had 2
weeks of trying different ways and is not for me, the last dose I had was only
100 mg and it was horrible.
I'm 51 years old and have past experience with (mis)use of
various substances, including benzodiazepines, alcohol and opiates. I also have
a firm knowledge of pharmaceuticals through formal education. Last year, 2015, I
started having problems with suicidal ideation. I'd never been a depressed
person before this. I'm thinking that all my past substance abuse might've
caused a change, or something. This substance abuse also includes a 'legal' item
called "kratom", which I still feel is directly responsible for the sudden
depression. It's the last thing I used.I'd wake up in the morning with a sinking
feeling of, 'I have no reason to live', 'There's nothing to look forward to in
my life', thoughts of that nature. Well, after my morning coffee and a dose of
kratom that feeling would go away. Until the next morning of course!! But
anyway, about phenibut. Recently I began using phenibut for the sole purpose of
combating my longstanding social anxiety. I didn't like it, at first. It felt
like a weak benzodiapine. But I kept dosing it: 1000 mg. 2x a day, every day.
Within a week I suddenly realized something. Those crippling morning thoughts of
worthlessness is totally gone!! I actually wake up very optimistic. And I
continue my 2x dosing of phenibut, 1000 mg. per dose.Phenibut appears to have a
very strong dopaminergic effect. With repeated dosing, it feels remarkably
similar to buproprion (minus the insomnia, of course). I'm just so pleased that
my dreadful morning depression is gone. It's a benefit of phenibut that I didn't
expect, and that I rarely see mention of in descriptions of phenibut. I feel its
worth investigating. Ps. Kratom is a substance that medical professionals need
to get hip to. It is NOT a 'weak opioid'. There's much to more to that demon
than just that. Trust me, there.
A. I am glad you have been helped by it. I am concerned about the
long term effects of regular use.
Good Night Rx all natural sleep aid is not in stock.
Primaforce, buy Phenibut, Unflavored, 100 grams
Buy Phenibut for sleep or relaxation, for occasional use
Supplement Facts | ||
Serving Size: 1 Level Scoop | ||
Servings Per Container: 333 | ||
Amount Per Serving | % DV | |
Phenibut (ß-phenyl-y-Aminobutyric acid) | 300 mg | * |
*Daily Value (DV) not established. |
Dosage: Half a scoop 2 hours before bed. No more than twice a week.